Login / Signup

Decreasing Unplanned Extubations in the NICU, an Ongoing Quality Improvement Project.

Gwen BretzGordon ChangTara Bonner
Published in: Neonatal network : NN (2023)
Unplanned extubations (UEs) can have devastating effects on neonates. The purpose of this quality improvement project is to decrease the number of UEs in Lankenau Medical Center's 22-bed Level III NICU. The UE rate had risen to 4.6 UEs per 100 ventilator days in 2016. Transitioning to a standardized bundle for intubated infants has decreased the UE rate to less than 2 per 100 ventilator days since 2018. The UE rate continues to be monitored for ongoing accountability and further staff education when rates increase.
Keyphrases
  • quality improvement
  • patient safety
  • preterm infants
  • acute respiratory distress syndrome
  • mechanical ventilation
  • low birth weight
  • intensive care unit
  • extracorporeal membrane oxygenation